Healthcare Provider Details

I. General information

NPI: 1104106434
Provider Name (Legal Business Name): CHERIE DENISE MAY EDWARDS DMFT, LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2011
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 HUFFMAN RD
BIRMINGHAM AL
35215-8300
US

IV. Provider business mailing address

524 HUFFMAN RD
BIRMINGHAM AL
35215-8300
US

V. Phone/Fax

Practice location:
  • Phone: 205-994-4563
  • Fax: 205-206-7131
Mailing address:
  • Phone: 205-994-4563
  • Fax: 205-206-7131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2744
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: